Bay Tree Center
2600 Highlands Blvd N, Palm Harbor, FL 34684


Bay Tree Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 105394. The address is 2600 Highlands Blvd N, Palm Harbor, FL 34684. The zip code is 34684. The phone number is 7277855671.


Bay Tree Center · 2600 Highlands Blvd N, Palm Harbor, FL 34684

Federal Provider Number 105394
Provider Name BAY TREE CENTER
Address 2600 HIGHLANDS BLVD N
PALM HARBOR, FL 34684
Phone Number 7277855671
SSA County Code 510
County Name Pinellas
Ownership Type For profit - Corporation
Certified Beds 120
Certified Beds Residents 109
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name 2600 HIGHLANDS BOULEVARD NORTH LLC
Date First Approved to Provide Medicare Medicaid Services 09/28/1981
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 2
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.63945
Reported LPN Staffing Hours per Resident per Day 0.96147
Reported RN Staffing Hours per Resident per Day 0.34587
Reported Licensed Staffing Hours per Resident per Day 1.30734
Reported Total Nurse Staffing Hours per Resident per Day 3.94679
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04725
Expected CNA Staffing Hours per Resident per Day 2.46913
Expected LPN Staffing Hours per Resident per Day 0.68546
Expected RN Staffing Hours per Resident per Day 1.07641
Expected Total Nurse Staffing Hours per Resident per Day 4.231
Adjusted CNA Staffing Hours per Resident per Day 2.62295
Adjusted LPN Staffing Hours per Resident per Day 1.16421
Adjusted RN Staffing Hours per Resident per Day 0.24009
Adjusted Total Nurse Staffing Hours per Resident per Day 3.76013
Cycle 1 Total Number of Health Deficiencies 12
Cycle 1 Number of Standard Health Deficiencies 12
Cycle 1 Health Deficiency Score 52
Cycle 1 Standard Survey Health Date 05/26/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 52
Cycle 2 Total Number of Health Deficiencies 13
Cycle 2 Number of Standard Health Deficiencies 11
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Health Survey Date 02/05/2016
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 32
Cycle 2 Total Health Score 96
Cycle 3 Total Number of Health Deficiencies 11
Cycle 3 Number of Standard Health Deficiencies 6
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 48
Cycle 3 Standard Health Survey Date 10/24/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 48
Total Weighted Health Survey Score 66
Number of Substantiated Complaints 6
Number of Fines 3
Total Amount of Fines in Dollars $12862.00
Total Number of Penalties 3
Processing Date 08/01/2017

Owner or Manager · Bay Tree Center

Owner Name Role Association Date
BERG, MICHAEL (Individual) OFFICER since 03/02/2015
BERG, MICHAEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
DAVIS, KEITH (Individual) MANAGING EMPLOYEE since 03/02/2015
DAVIS, KEITH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 03/02/2015
DONNA REIS 1995 FAM TR (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
EDWARDS, JAN (Individual) OFFICER since 03/02/2015
EVANS, CHRISTOPHER (Individual) OFFICER since 03/02/2015
FC-GEN OPERATIONS INVESTMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
FISHMAN, STEVEN (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
FLORIDA HOLDINGS III LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/20/2007
GEN OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GEN OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
GENESIS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
HARBORSIDE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
HCCF MANAGEMENT GROUP XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
JOHNSON, TRACY (Individual) MANAGING EMPLOYEE since 05/06/2011
SENIOR CARE GENESIS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SENIOR CARE HOLDINGS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUN HEALTHCARE GROUP, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
SUNBRIDGE HEALTHCARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/20/2007
WHITMAN, ARNOLD (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015
WIESS, MARK (Individual) OFFICER since 03/02/2015
ZAC PROPERTIES XI LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 02/02/2015

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